Individual
JESSE DAVID WINSLOW RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
345 N GRANT ST, CANBY, OR 97013-3689
(503) 266-2066
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
(702) 838-1456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA203927
OR
363A00000X
Physician Assistant
—
OR
Other
Enumeration date
09/13/2021
Last updated
10/21/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us